| The Effect of Extracapsular Cataract Extraction in Patients with Chronic Angle-Closure Glaucoma combined with Cataract. |
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Baek Seo Koo, Jin Chung, Nam Ho Baek |
1Department of Ophthalmology, Capital Armed Forces General Hospital, Seoul, Korea.
2Department of Ophthalmology, Catholic University, College of Medicine, Seoul, Korea. |
| 백내장이 동반된 만성폐쇄각녹내장 환자에서의 백내장적출술의 효과 |
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백남호(Nam Ho Baek),정진(Jin Chung),구백서(Baek Seo Koo) |
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| Abstract |
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14 eyes of 11 patients with chronic angle-closure glaucoma(CACG) undergoing extracapsular cataract extraction(ECCE) with posterior chamber intraocular lens(PCIOL) implantation(group 1) and 14 eyes of 12 patients without glaucoma undergoing ECCE/PCIOL(group 2) were studied to assess the effect on anterior chamber depth, anterior chamber angle, and intraocular pressure (IOP). We measured the anterior chamber depth and angle using the EAS-1000 Scheimpflug camera. Following ECCE/PCIOL in group 1, the anterior chamber depth increased 1.00 +/- 0.25mm(p=0.0001), the anterior chamber angle widened 15.36 +/- 5.61 degrees(p=0.0001), and the postoperative IOP drop of 4.7mmHg(23.9%) showed statistical significance. Group 2 showed the increase of anterior chamber depth 0.22 +/- 0.44mm(p=0.0964), the widening of anterior chamber angle 2.51 +/- 2.65 degrees(p=0.0047), and the decrease of IOP 0.9mmHg(6.2%, p=0.0933). The effects on anterior chamber depth, anterior chamber angle, and rap were statistically significant between the two groups. Based on these results, we recommend that eyes with cataract and CACG may be considered for ECCE/PCIOL implantation as a first procedure rather than combined cataract and filtering surgery. |
| Key Words:
Anterior chamber angle;Anterior chamber depth;CACG;ECCE/PCIOL;IOP |
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